| Lawrence Alan Short, DPM | |
| 
					71 Waukegan Road, Suite 200, Lake Bluff, IL 60044-1662  | |
| (847) 295-9301 | |
| (847) 295-9607 | 
| Full Name | Lawrence Alan Short | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist | 
| Location | 71 Waukegan Road, Lake Bluff, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841306008 | NPI | - | NPPES | 
| 60021233 | Other | IL | BCBS | 
| 363267075 | Other | IL | HUMANA | 
| 363267075 | Other | IL | UNICARE | 
| 000102466006 | Other | IL | UNITED HEALTH CARE | 
| 2502493 | Other | IL | CIGNA | 
| 2137407 | Other | IL | AETNA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 016003095 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lawrence Alan Short, DPM 71 Waukegan Rd, Suite 200, Lake Bluff, IL 60044-3009 Ph: (847) 295-9301  | Lawrence Alan Short, DPM 71 Waukegan Road, Suite 200, Lake Bluff, IL 60044-1662 Ph: (847) 295-9301  | 
Lawrence A Short Dpm Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 71 Waukegan Rd, Suite 200, Lake Bluff, IL 60044 Phone: 847-295-9300 Fax: 847-295-9607  |